Individual provider · Type 1 NPI
Edward Ray Derr, LPC, NCC
Professional Counselor · Springfield, MO
NPI number
1134497548
Active
Practice location
926 S Devonshire Dr
Springfield, MO 65802-2721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2005040692 (MO) |
Professional Counselor: Definition to come...
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About NPI 1134497548
Edward Ray Derr, LPC, NCC's National Provider Identifier is 1134497548, issued on Dec 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Dec 13, 2011.